Guyrene Broadus in Plymouth Meeting - Licensed Practical Nurse

Guyrene Broadus - NPI 1770784506

Guyrene Broadus is a Licensed Practical Nurse in Plymouth Meeting, Pennsylvania. Guyrene Broadus practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Guyrene Broadus is 1770784506. The last update date is 2007-07-08.

Guyrene Broadus's current location address is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. You can contact this provider via phone number 6108341122 and fax number 6108347525. The mailing address for Guyrene Broadus is 2250 Hickory Rd, Plymouth Meeting, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Guyrene Broadus
Address 2250 Hickory Rd, Plymouth Meeting, Pennsylvania
Phone Number 6108341122
Fax Number 6108347525
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1770784506
Provider Enumeration Date 2007-05-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2250 Hickory Rd
City Plymouth Meeting
State Pennsylvania (PA)
Post Code 194621047
Phone Number 6108341122
Fax Number 6108347525

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No PN106634L
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Guyrene Broadus

What is the unique 10-digit identifier code assigned to Guyrene Broadus by the Centers for Medicare & Medicaid Services?

The Guyrene Broadus has been issued the NPI (National Provider Identifier) 1770784506 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Guyrene Broadus is located?

The Guyrene Broadus is situated at the following address: 2250 Hickory Rd, Plymouth Meeting, PA, 194621047.

What is the Guyrene Broadus's area of specialization and corresponding taxonomy classification?

The Guyrene Broadus's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.

On what date did the Guyrene Broadus receive its 1770784506 assignment from the Centers for Medicare & Medicaid Services?

The Guyrene Broadus was assigned its 1770784506 by the Centers for Medicare & Medicaid Services on 2007-05-30.

As of what date was the information pertaining to Guyrene Broadus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Guyrene Broadus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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